MedicaidCoverageMedium impact
5160:1-3-03.2 - Medicaid: income exclusions. (Amend/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Apr 15, 2026
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has updated Rule 5160:1-3-03.2 regarding income exclusions for Medicaid eligibility determination. This amendment affects how certain income types are excluded when determining patient Medicaid eligibility, potentially impacting which patients qualify for Medicaid coverage.
Action Required
By April 15, 2026: Front desk staff must verify patient Medicaid eligibility using updated income exclusion criteria when scheduling appointments and before services. Billing team should review denied claims for patients who may now qualify under revised income exclusion rules and consider resubmitting if appropriate.